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For the first time, the concept of separating the laser head from the supply unit was implemented, turning the laser into a mobile unit. Thanks to its outstanding beam quality, the Martin MY 60 Nd:YAG laser can use extremely thin optical fibers for energy transmission. This enables laser light application through endoscopes and flexible/controllable catheters.
However, morbidity rates due to intraoperative or postoperative hemorrhages are still high and the risk of a TUR syndrome cannot be ruled out. In light of these considerations, Martin confronted the challenge of developing an alternative, low-risk therapeutic technique. The primary developmental objective was to minimize the occurrence of TUR-P hemorrhages because this also eliminates all blood transfusion hazards. Besides, it avoids the organic risks posed by irrigation, thus preventing the dreaded TUR syndrome as well.
The newly developed KLS Martin laser cystoscope has a special shaft for precise positioning of the instrument at a defined distance from the tissue surface, thus guaranteeing optimal delivery of the high laser energy to the tissue. The laser light’s penetration depth depends on the total amount of energy applied, the wavelength of the laser used and the tissue’s heat conduction properties.
In terms of design and handling, the laser cystoscope is similar to the well-known HF resectoscopes. The hallmark of the laser-assisted prostatic resection technique developed in collaboration with Professor Aeikens is initial tissue coagulation, thus destroying and thrombosing blood supply vessels in a first step. The resection can then be performed without the risk of hemorrhages in a second step – on an outpatient basis and in a much safer way. The removed tissue is suitable for histologic examination.
Besides, the KLS Martin MY 40 1.3 enables you to remove even a very large number of metastases (>150), which may range from rice-grain to tennis-ball size. Even deep-seated metastases and tumors can be removed while preserving the segment or lobe. Flexible, yet mechanically strong coagulation zones allow for visceral pleura suture as an additional safety measure.
Dry and fistula-tight resection surfaces are also features that must be counted among the MY 40 1.3’s decisive advantages. Should recidivation occur, the intervention can be repeated. Lung tumor removal coupled with extensive preservation of the affected segment or lobe significantly increases the patients’ life expectancies with almost no loss in the quality of life.
These units offer users a multitude of application-oriented operating modes characterized by the highest precision along with minimal thermal load. An excellent example is the superpulse mode with its ultra-short pulse lengths of just 0.3 ms. Another highlight is the integrated Soft Scanplus scanner for controlled and gentle tissue vaporization in general and esthetic surgery. Thanks to the wide range of application instruments, the Soft Scanplus can be used across all microsurgical fields.
A comprehensive range of accessories makes the CO2 lasers ideal for use in dermatology, esthetic and plastic surgery, ENT, gynecology, proctology, neurosurgery and general surgery. A multitude of special handpieces and the high-quality Micro Point manipulator allow using these lasers with a surgical microscope as well.
